Purpose of the study: To examine the relationship between county-level Medicaid home- and community-based service (HCBS) waiver expenditures and the prevalence of low-care residents in Florida nursing homes (NHs). Design and Methods: The present study used a cross-sectional design. We combined two data sources: NH facility-level data (including…

Purpose: The purpose of this article is to describe the projected use for long-term-care services through 2012. Design and Methods: We constructed a static-component projection model using age, function, and other covariates. We obtained enrollee projections from the Veterans Health Administration (VHA) and combined these with nursing home and…

Purpose: We identified the types of home-and community-based services (HCBS) that high-risk older adults in Medicare managed care used, and we examined participant characteristics associated with service use in six areas: overall service use, four specific categories of HCBS, and referrals to insured medical services. Design and Methods: We used…

Utilizes survey responses from 2178 community-dwelling older adults to test the hypothesis that predisposing, enabling, and need characteristics are better predictors of discretionary than nondiscretionary service use. Results generally support the hypothesis, underscoring the importance of need characteristics for least discretionary service use.…

Examined type of service, volume, and mix of services provided to 270 poor and frail elders. Predictors of use and volume of service differed depending on type of service. The most prescribed service combinations included nursing, home health, and homemaker; homemaker only; nursing and home health; nursing and homemaker; and nurse only. (RJM)

Examined the relationship between sources of information and service utilization, based on household interviews of 706 older adults. Information about services obtained through formal sources was the best predictor of service utilization. Most respondents, however, learned of services primarily through the media or through informal sources.…

Examined health service utilization by 4,800 Canadian elderly. Findings suggested that most elderly are healthy and are infrequent users of services. Identifies a minority of very high users of health care and discusses the potential influence of physicians on health care use by the elderly. (JAC)

Older Texans obtain transportation for nonemergency health care without difficulty by using private automobiles, riding with a relative, friend, or neighbor, or paying someone. Age, race, marital status, having a telephone, and owning an automobile were significantly associated with transportation used. (Author)

Examines survey data from a metropolitan community to investigate comparative rankings of needs of older persons by service providers and their elderly target population. Training in gerontology, serving elderly clients exclusively, and having direct contact with elderly clients as line staff were not predictors of knowledge of elderly needs.…

Long term care in a nursing home prior to enrollment in PACE remain at high risk of readmission, despite the availability of comprehensive services. This study determined overall risk and predictors of long-term nursing home admission within the Program of All-Inclusive Care for the Elderly (PACE). Design and Methods: Data PACE records for 4,646…

Examined predictors of service usage in a study of 5,700 nonmetropolitan elderly. Results revealed only slightly higher service utilization for urban versus rural residents. Marital status, income, and age were related to service use for both groups. Among the rural aged, lack of transportation was related to service usage. (Author/JAC)

Examined models for predicting treatment decisions of physicians, nurses, and social workers within acute and long-term care settings. Elicited treatment choices to vignettes regarding decisions to allocate scarce medical resource and to withhold treatment from debilitated patient. Primarily medical factors predicted decision to allocate…

Used data from Channeling Demonstration to investigate relationship between program participation, utilization of formal in-home services, and client satisfaction in elderly population. Age, being male, severe Activities of Daily Living dependency, living alone with no informal support, provision of basic case management services, and utilization…

Availability of nursing home beds was a strong predictor of institutional care. Higher rates of community care occurred where there were greater expenditures for protective, legal, chore, day care and social/recreation services and, in which there were more older persons in poverty and fewer women working. (Author)

Purpose: For depressed older primary care patients, this study aimed to examine (a) characteristics associated with depression treatment preferences; (b) predictors of receiving preferred treatment; and (c) whether receiving preferred treatment predicted satisfaction and depression outcomes. Design and Methods: Data are from 1,602 depressed older…